Polydimethylsiloxane (PDMS) is one of the most promising elastomers due its remarkable proprieties such as good thermal stability, biocompatibility, corrosion resistance, flexibility, low cost, ease of use, chemically inertia, hyperplastic characteristics, and gas permeability. Thus, it can be used in areas such as microfluidic systems, biomedical devices, electronic components, membranes for filtering and pervaporation, sensors, and coatings. Although pure PDMS has low mechanical properties, such as low modulus of elasticity and strength, it can be improved by mixing the PDMS with other polymers and by adding particles or reinforcements. Fiber-reinforced PDMS has proved to be a good alternative to manufacturing flexible displays, batteries, wearable devices, tactile sensors, and energy harvesting systems. PDMS and particulates are often used in the separation of liquids from wastewater by means of porosity followed by hydrophobicity. Waxes such as beeswax and paraffin have proved to be materials capable of improving properties such as the hydrophobic, corrosion-resistant, thermal, and optical properties of PDMS. Finally, when blended with polymers such as poly (vinyl chloride-co-vinyl acetate), PDMS becomes a highly efficient alternative for membrane separation applications. However, to the best of our knowledge there are few works dedicated to the review and comparison of different PDMS composites. Hence, this review will be focused on PDMS composites, their respective applications, and properties. Generally, the combination of elastomer with fibers, particles, waxes, polymers, and others it will be discussed, with the aim of producing a review that demonstrates the wide applications of this material and how tailored characteristics can be reached for custom applications.